Active NPI
Kurosh A. Safavi, MD
- Diagnostic Radiology Physician
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD199928
- Practice address
- 2500 Belle Chasse Highway
Gretna, LA 70056 - Phone
- (504) 391-5177
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 199928 | LA | |
| Diagnostic Radiology Physician | 2085R0202X | 38008 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | MD199928 | LA | Primary |
Addresses
Primary practice location
2500 Belle Chasse Highway
Gretna, LA 70056
Mailing address
1514 Jefferson Highway
New Orleans, LA 70121
Phone (504) 842-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00625182 | Other | AZ | RAILROAD MEDICARE |
| 1058629 | Medicaid | LA | |
| 350275 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38008 | AZ | MD | Diagnostic Radiology Physician |
| 199928 | LA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Lallie Kemp Medical Ctr | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Lallie Kemp Medical Ctr | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Independence, LA
- NPI 1558303420
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Critical Access Hospital
- Independence, LA
- NPI 1972545846
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Hammond, LA
- NPI 1992904932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1083805113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HIGHWAY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70121",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 BELLE CHASSE HIGHWAY",
"city": "GRETNA",
"state": "LA",
"postal_code": "70056",
"telephone_number": "504-391-5177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAVI",
"first_name": "KUROSH",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": "199928",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "38008",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "MD199928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00625182",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1058629",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350275",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.